My Medical Skills Give Me Experience Points-Chapter 234 - 129: The Patient Who Lied, Aseptic Necrosis

Chapter 234 -129: The Patient Who Lied, Aseptic Necrosis

Now, Zhou Can’s plaster-casting level is already not inferior to Doctor He.

If he were to stay in the orthopedic department for a year, his plaster-casting level could definitely surpass that of most attending physicians.

In terms of bone fracture surgery, the improvement of this medical skill is also very gratifying. It has likewise reached the lower level of resident doctors.

After all, this is a specialized orthopedic department, and there are so many opportunities to join fractured bones.

Over the past two plus months, Zhou Can followed Doctor Shan and Director Shen, accumulating a total of 117 opportunities to join fractured bones.

He could feel the significant improvement in his bone joining ability.

In the past, the most he handled were broken fingers, and senior doctors would basically only let him perform such low-risk, low-difficulty bone joining.

Now with the bone joining level of a resident doctor, he can also handle fractured bones like humeri and tibiae.

It’s just that the results aren’t as good as those by Doctor Shan or Dr. Chi.

The improvement of the aforementioned three orthopedic skills are all quite satisfactory. Only the Bone Setting Skill, learned but still at an intern’s failing level, has experienced no improvement at all.

The main reason is the lack of opportunities to practice.

Patients requiring bone setting are treated directly in the manual reduction room, and would never enter the operating room.

On rare occasions, when a dislocated or displaced joint is too complex for surgical reduction, an operative reduction is needed through invasive surgery.

Such surgeries are generally handled by the Bone and Joint Group, and the Bone Trauma Group where he is has never performed such surgeries.

Unable to improve his Bone Setting Skill, there’s nothing he can do.

He can only wait for opportunities for further training in the future.

The main purpose of standardized training is to provide standardized training for diagnostic and treatment operations. During this period, it is sufficient to learn basic operation methods, patient reception, and treatment procedures.

There is no need to master every medical skill to perfection.

No one can master all the medical skills covered in the three-year standardized training program.

It’s about entering the door, learning the method, and then slowly refining and improving one’s medical skills in the process of practicing medicine as a resident doctor.

In addition to enhancing his orthopedic skills during the two plus months in the orthopedics department, many of his other medical skills such as suturing, ligation, hemostasis, debridement, and separation have also seen significant improvement.

His Hemostasis Skill has now nearly reached the mid-level of attending physicians.

Suturing and ligation, due to more opportunities to practice, have increased his Experience Points quickly. Plus, they were already close to the excellent level of attending physicians.

Already last month, he had reached the excellent level of attending physicians, and was on the verge of reaching the level of associate director physicians.

He is especially looking forward to this.

What would it feel like to have Director Level medical skills?

On this day, like usual, Zhou Can arrived early at the orthopedic department to start his shift.

At least half an hour early to the office of the doctors in their group, not for anything else, but to check on the surgery cases in the group. Getting to know the information about the patients scheduled for surgery in advance would allow him to be more prepared during the operation.

Additionally, by following up on the postoperative cases and operation plans, he could clearly understand the effects of the treatment.

This would accumulate a wealth of experience for his future practice.

Upon checking the case of a calcaneal fracture scheduled for surgery today, Zhou Can was reading through the person’s test reports and X-rays, while the details he had witnessed during ward rounds about the patient appeared in his mind.

According to the X-rays taken by the patient, the calcaneus had a severe fracture.

Surgery was needed to make an incision at the ankle joint, reposition the fractured calcaneus, and after drilling, use screws for internal fixation.

Although the site of the operation is just on the limb and seems uncomplicated, the level of this surgery is Level 4.

Even associate directors could not lead the surgery.

Only a Director Level physician could personally perform the surgery.

The classification of surgeries has a strict standard. It is graded based on difficulty, risk, and other factors.

A surgery that reaches Level 4 will not be an easy one to perform.

Director Shen will personally conduct this surgery at nine o’clock this morning.

Reports and X-rays had surely been reviewed by Director Shen already. The preoperative discussion might be conducted by him personally, or he might let his attending physicians do it.

Zhou Can repeatedly enlarged the patient’s X-rays for a closer examination.

This patient’s injured left foot, he had seen, and it was swollen and shiny. He had been admitted for two days already, with the surgical plan determined just yesterday.

“Doctor Zhou, what are you looking at?”

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Doctor He entered the office and found Zhou Can to be the first one there; he greeted him with a smile.

“I’m just checking the patient data within the group. Could you help me take a look to see if there’s anything wrong with this patient’s X-ray?”

Zhou Can’s intuition had always been more sensitive than a woman’s sixth sense.

When checking the patient’s data, he always felt something was not quite right.

Doctor Hee Zhang came over and examined the patient’s X-ray closely.

“There’s nothing wrong, it’s indeed a severe fracture of the calcaneus.”

After looking, he didn’t find any problems.

“Maybe I’m just overthinking it! I’ll go to the ward again to check on the patient.”

Zhou Can got up and headed towards the ward.

Here were rows of open hospital beds.

The big hospitals have too many patients seeking treatment, so in order to save management costs and space as much as possible, they prefer to use this type of open bed arrangement.

Along the way, patients and their family members continually greeted him.

Some of the smarter patients or family members basically knew that Zhou Can held a rather high status.

Although Zhou Can walked in the fourth place during the attending physician rounds in the morning, for some important cases, Doctor Shan would actively discuss with him.

This was a privilege not available to Doctor Tang and Dr. Hee.

The reason, of course, was simple.

Zhou Can’s diagnostic level in pathology was fairly decent, and his knowledge in medical cases was quite profound.